Active NPI
Little Silver Family Pharmacy LLC
- Community/Retail Pharmacy
- Little Silver, NJ
National Provider Identifier
1376618355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00576500
- Legal business name
- LITTLE SILVER FAMILY PHARMACY LLC
- Practice address
- 10 Church St
Little Silver, NJ 07739-1440 - Phone
- (732) 741-1121
- Fax
- (732) 224-0107
- NPI assigned
- Nov 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew J Parisi, RPH
- Title
- Owner
- Phone
- (732) 741-1121
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 4470640001 | NJ | |
| Community/Retail Pharmacy | 3336C0003X | 28RS00576500 | NJ | Primary |
Addresses
Primary practice location
10 Church St
Little Silver, NJ 07739-1440
Mailing address
10 Church St
Little Silver, NJ 07739-1440
Phone (732) 741-1121
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8055203 | Medicaid | NJ | |
| 3110993 | Other | NJ | NABP |
| 8055211 | Other | NJ | MEDICAID DME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930033786 | NJ | DME Supplier - Pharmacy | 6002029741 |
1 other NPI on this enrollment Practice locations: Little Silver, NJ |
| O20150914001861 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 6002029741 | Practice locations: Little Silver, NJ |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Retail Pharmacy
- Little Silver, NJ
- NPI 1295766582
O20100930033786
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Little Silver, NJ
- NPI 1740736552
-
- Pharmacist
- Little Silver, NJ
- NPI 1194132654
-
- Pharmacist
- Little Silver, NJ
- NPI 1376188458
-
- Pharmacist
- Little Silver, NJ
- NPI 1396956843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665619200000",
"number": "1376618355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CHURCH ST",
"city": "LITTLE SILVER",
"state": "NJ",
"postal_code": "077391440",
"telephone_number": "732-741-1121",
"fax_number": "732-224-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CHURCH ST",
"city": "LITTLE SILVER",
"state": "NJ",
"postal_code": "077391440",
"telephone_number": "732-741-1121",
"fax_number": "732-224-0107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE SILVER FAMILY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A",
"authorized_official_last_name": "PARISI",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-741-1121",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NJ",
"license": "4470640001",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00576500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8055203",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "3110993",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "8055211",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Silver, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.